2021 Tennessee Code
Part 4 - Executions and Garnishments in Aid of Executions
§ 26-2-404. Contents of Notice

IN THE  COURT FOR  COUNTY, TENNESSEE   Plaintiff,  )   vs.   )            CASE NO.  Defendant. )
NOTICE TO JUDGMENT DEBTORTo collect a judgment against you in this lawsuit, your money or other property has been seized by execution or garnishment. An execution allows the sheriff to sell the property levied upon. A garnishment requires your bank (or other person holding your money or property) to transfer your property to the court or to hold it to satisfy the judgment.
READ THIS CAREFULLY. YOU MAY BE ABLE TO KEEP YOUR MONEY OR PROPERTY OR GET IT BACK.
State and federal laws prevent certain types of money or property from being used to pay a judgment. Such money or property is “exempt.” Examples of exempt money are: Social security benefits, SSI, unemployment benefits, Veterans' benefits, AFDC, and most government pensions. Examples of exempt property are certain health care aids and “tools of trade.” These examples of exempt money and property constitute only a partial list, and you may have other exemptions.
If you think you have exempt money or property that has been seized, you have the right to file a motion with the court clerk's office identified below claiming your exemption and asking for the release or return of your money or property.
You can get a form for filing this motion at the clerk's office below, or the clerk may have supplied such a form on the back of this notice. YOU SHOULD ACT QUICKLY.  If you file a motion within twenty (20) days from the date this notice was mailed to you or was given to you, the court must hear and decide your motion promptly, and in no event later than fourteen (14) days from filing. The clerk will notify you of the time, date, and place of the hearing.
IF YOU DO NOT UNDERSTAND YOUR RIGHTS OR HOW TO EXERCISE THEM, YOU MAY WISH TO CONSULT WITH A LAWYER. IF YOU CANNOT AFFORD A LAWYER, YOU MAY BE ELIGIBLE FOR FREE LEGAL ASSISTANCE.  The court clerk's office can provide you with forms and with information about legal services in your area, but the clerk cannot give you legal advice.
NAME:             (Clerk of Court)       (Judgment Debtor)ADDRESS:     (Provided by Creditor)     TELEPHONE:
GARNISHMENT CALCULATION
ANSWER OF GARNISHEE (Employer) Docket/Case #
[GARNISHMENT CALCULATION: TCA 26-2-404(b), as defined in TCA 26-2-216]
Pay period from  to
If once every week, enter 30 X fmw.   (b)(1)(D)
If once every two (2) weeks, enter 30 X  fmw X 2.   (b)(1)(D)
If two (2) times per month, enter 30 X  fmw X 2.166667.   (b)(1)(D)
If once per month, enter 30 X fmw X  4.333334.   (b)(1)(D)
— .50 if the employee is supporting another  spouse or child and the arrearage is less  than twelve (12) weeks old;
— .55 if the employee is supporting another  spouse or child and the arrearage is more  than twelve (12) weeks old;
— .60 if the employee is NOT supporting  another spouse or child and the arrearage  is less than twelve (12) weeks old;
— .65 if the employee is NOT supporting  another spouse or child and the arrearage  is more than twelve (12) weeks old.
Withhold this amount (in preceding  blank) from wages, or the amount  actually ordered to be paid for alimony or  child support, whichever is less .
♦ Nothing due employee
♦ No longer employed
♦ Other
As of the  day of  , 20 ,  , Garnishee, is holding the sum of $ .
I certify under penalty of perjury that the above information is true and correct. Date:    GARNISHEE/EMPLOYER